Dilworth Cindy
Royal Brisbane and Women's Hospital, Rural Stroke Outreach Service and Speech Pathology Department, Royal Brisbane and Women's Hospital, Queensland, Australia.
Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S108-S118.
Dysphagia and communication impairment are common consequences of stroke. Stroke survivors with either or both of these impairments are likely to have poorer long-term outcomes than those who do not have them. Speech-language pathologists (SLP) play a significant role in the screening, formal assessment, management, and rehabilitation of stroke survivors who present with dysphagia and/or communication impairment. Early diagnosis and referral is critical, as is intensive intervention as soon as the patient is able to participate. The SLP is also responsible for educating carers and staff in strategies that can support the patient and for making appropriate environmental modifications (e.g. altering diet consistencies or providing information in an aphasia-friendly format) to optimize the stroke survivor's participation, initially, in the rehabilitation program and, subsequently, within the community.
吞咽困难和沟通障碍是中风的常见后果。有这些障碍其中之一或两者皆有的中风幸存者，其长期预后可能比没有这些障碍的人更差。言语治疗师在对出现吞咽困难和/或沟通障碍的中风幸存者进行筛查、正式评估、管理及康复方面发挥着重要作用。早期诊断和转诊至关重要，患者一旦能够参与，强化干预同样关键。言语治疗师还负责对护理人员和工作人员进行培训，使其掌握能够支持患者的策略，并进行适当的环境调整（例如改变饮食黏稠度或以失语症友好的形式提供信息），以优化中风幸存者最初在康复计划中的参与度，随后在社区中的参与度。
